Article ; Online: Safety and Efficacy of Percutaneous Morton Neuroma Cryoneurolysis Under Ultrasound Guidance.
Cardiovascular and interventional radiology
2024
Abstract: Purpose: To assess the technical success, safety and early efficacy of Morton neuroma (MN) cryoneurolysis.: Materials and methods: Retrospective review of 54 consecutive patients with MN treated with cryoneurolysis after failure of conservative ... ...
Abstract | Purpose: To assess the technical success, safety and early efficacy of Morton neuroma (MN) cryoneurolysis. Materials and methods: Retrospective review of 54 consecutive patients with MN treated with cryoneurolysis after failure of conservative treatment, from September 2022 to June 2023. Outcomes measurements included technical success (defined a successful ultrasound-guided placement of the cryoprobe), procedural safety according to Cirse classification and change in 6 months post-procedure by pain numeric rating scale (pNRS). Results: A total of 59 MN were treated during 55 procedures. Mean procedure duration was 47 min, all patients were discharged 2 h after the intervention. Technical success was 98.1%. No Cirse grade 3, 4 or 5 complication was reported. Three grade 2 complication occurred, including two chilblain-type lesions and one bone insufficiency fracture. At 6 months post-procedure, pNRS score was significantly decreased (2.7 ± 2.2 vs 7.1 ± 1.1) (p < 0.0001), with a mean score decrease of 4.1points. Thirty-two patients (60.4%) reported a complete pain relief, 15 (28.3%) a partial pain relief and 6 (11.3%) no pain relief, or increased pain. Conclusion: Cryoneurolysis seems to be safe for the treatment of Morton neuroma. Six-month pain relief is promising and needs to be confirmed at long term. |
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Language | English |
Publishing date | 2024-03-04 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 603082-8 |
ISSN | 1432-086X ; 0342-7196 ; 0174-1551 |
ISSN (online) | 1432-086X |
ISSN | 0342-7196 ; 0174-1551 |
DOI | 10.1007/s00270-024-03669-1 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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